NATIONAL BUREAU OF ECONOMIC RESEARCH
NATIONAL BUREAU OF ECONOMIC RESEARCH
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Ishtiaque Fazlul

Georgia State University
Andrew Young School of Policy Studies
Department of Economics
Atlanta, GA 30302-3992

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Institutional Affiliation: GSU

NBER Working Papers and Publications

August 2019The Impact of the ACA on Insurance Coverage Disparities After Four Years
with Charles J. Courtemanche, James Marton, Benjamin D. Ukert, Aaron Yelowitz, Daniela Zapata: w26157
The purpose of this paper is to estimate the impact of the major components of the ACA (Medicaid expansion, subsidized Marketplace plans, and insurance market reforms) on disparities in insurance coverage after four years. We use data from the 2011–2017 waves of the American Community Survey (ACS), with the sample restricted to nonelderly adults. Our methods feature a difference-in-difference-in-differences model, developed in the recent ACA literature, which separately identifies the effects of the nationwide and Medicaid expansion portions of the law. The differences in this model come from time, state Medicaid expansion status, and local area pre-ACA uninsured rate. We stratify our sample separately by income, race/ethnicity, marital status, age, gender, and geography in order to examin...
 
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